As a specific example, an insurance company that did not actually pay out a claim to the policyholder has no grounds for a subrogation claim. Subrogation claims reimburse health insurance companies for medical bills they pay in an NYC personal injury case.Learn more about subrogation claims here. Subrogation means your insurance company steps into your shoes after they've paid out a claim. Insurance companies can utilize this letter template to seek reimbursement from the person or entity legally responsible for a loss. Subrogation is a legal concept that often comes up in the personal injury context after a settlement agreement has been reached. A notice of claim must be filed in writing. The Plaintiff, above named, complaining of Defendants, above named, alleges and says as follows: 1. The forms can be filled in on the computer. When you are finished, you can print your completed form.